| NPI | 1295293843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 346661) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 643174) |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2021-10-06 |